Between-Session Practice and Therapeutic Alliance as Predictors of Mindfulness After Mindfulness-Based Relapse Prevention
Between-Session Practice and Therapeutic Alliance as Predictors of Mindfulness After Mindfulness-Based Relapse Prevention
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DOI：
10.1002/jclp.20855
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发表时间：
2012-03-01
影响因子：
3
通讯作者：
Kurz, Andrew S.
中科院分区：
文献类型：
--
作者：
Bowen, Sarah;Kurz, Andrew S.
目的：基于正念的治疗已经证明在临床人群中减少症状的有效性。毫不奇怪，研究表明，客户正念的增加可能是这些治疗方法改变的机制。然而，人们对导致正念增加的具体因素知之甚少。设计图：本研究是对93名接受药物滥用门诊治疗的成年人的二次分析，评估了为期8周的正念复发预防（MBRP）计划后，会话间正念练习和治疗联盟对正念水平的影响。结果如下：在8周的课程中，两次练习可以预测后期的正念，尽管在2个月或4个月的随访评估中没有。在2个月随访时，客户评定的治疗联盟是一个重要的预测因素，但在4个月时不是。结论：这些研究结果表明，会话之间的实践和治疗联盟可能是基于正念的治疗后正念最初增加的重要因素，但支持长期正念的因素可能会随着时间的推移而改变。(C)2011 Wiley Periodicals，Inc. J. Clin. Psychol. 68：236-245，2012.
Objectives: Mindfulness-based treatments have demonstrated efficacy in reducing symptoms in clinical populations. Not surprisingly, research suggests increases in client mindfulness might be a mechanism of change in these treatments. However, little is known about specific factors that lead to increased mindfulness. Design: The present study is a secondary analysis of 93 adults in outpatient treatment for substance abuse, assessing effects of between-session mindfulness practice and therapeutic alliance on levels of mindfulness after an 8-week Mindfulness-Based Relapse Prevention (MBRP) program. Results: Between-session practice over the course of the 8 weeks was predictive of mindfulness at postcourse, although not at the 2-month or 4-month follow-up assessments. Client-rated therapeutic alliance was a significant predictor at the 2-month follow-up, although not at 4 months. Conclusions: These findings suggest that between-session practice and therapeutic alliance might be important factors in the initial increases in mindfulness after mindfulness-based treatments, but factors supporting longer term mindfulness might shift over time. (C) 2011 Wiley Periodicals, Inc. J. Clin. Psychol. 68:236-245, 2012.